# The Repeal of Obamacare/ACA: Step-bystep, Inch-by-inch

**URL:** <https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146>\
**Category:** The BBQ Pit\
**Created:** [January 2, 2017, 5:06pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146 "2017-01-02T17:06:13Z")\
**Posts on this page:** 20\
**Page:** 40

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**Author:** ![Slash1972](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/slash1972/32/6461_2.png) [@Slash1972](https://boards.straightdope.com/u/Slash1972)\
**Post date:** [June 22, 2017, 6:50pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/781 "2017-06-22T18:50:14Z")

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> [@JohnT](#):
>
> Oh, and pregnancy now makes one ineligible for Medicaid.

Not that I’m in favor of the new bill, but I don’t think this is true.

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**Author:** ![Icarus](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/icarus/32/72_2.png) [@Icarus](https://boards.straightdope.com/u/Icarus)\
**Post date:** [June 22, 2017, 6:58pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/782 "2017-06-22T18:58:24Z")

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Once again, I am left with the conclusion that the GOP, as a policy, wants lots of people dead, and is actively working toward that goal (DonTCare, environmental policies, reduction of safety regulations, etc.). They are clever enough (for now) to know that train cars and gas chambers are bad optics, so they opt for more slow moving solutions, that have the added benefit of extending the suffering.

What is curious to me is that the result is a shotgun approach, which ends up having a negative impact on many of their own loyal voters. Either they are taking them for granted, as loyal voters, or they somehow believe that more will appear to replace the ones they lose. A puzzle.

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**Author:** ![Little\_Pig](https://avatars.discourse-cdn.com/v4/letter/l/c57346/32.png) [@Little\_Pig](https://boards.straightdope.com/u/Little_Pig)\
**Post date:** [June 22, 2017, 8:43pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/783 "2017-06-22T20:43:18Z")

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> [@jsgoddess](#):
>
> Meet the [new CBO score](http://thehill.com/policy/healthcare/335000-cbo-obamacare-repeal-bill-would-leave-23m-fewer-people-with-insurance), same (really close) to the old score:

“The GOP’s ObamaCare replacement bill that passed the House would result in 23 million fewer people with health insurance over 10 years, the nonpartisan Congressional Budget Office said in an analysis released Wednesday.”

Republicans view this as 23 million people “exercising their freedom” not to have health insurance.

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**Author:** ![mhendo](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/mhendo/32/3159_2.png) [@mhendo](https://boards.straightdope.com/u/mhendo)\
**Post date:** [June 22, 2017, 10:29pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/784 "2017-06-22T22:29:30Z")

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> [@Little\_Pig](#):
>
> “The GOP’s ObamaCare replacement bill that passed the House would result in 23 million fewer people with health insurance over 10 years, the nonpartisan Congressional Budget Office said in an analysis released Wednesday.”
> 
> Republicans view this as 23 million people “exercising their freedom” not to have health insurance.

Not that this is NOT the CBO score for the Senate bill that everyone is discussing today. The CBO will not have that bill scored until sometime next week.

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**Author:** ![Ludovic](https://avatars.discourse-cdn.com/v4/letter/l/7ab992/32.png) [@Ludovic](https://boards.straightdope.com/u/Ludovic)\
**Post date:** [June 23, 2017, 12:11am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/785 "2017-06-23T00:11:59Z")

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> [@mhendo](#):
>
> Not that this is NOT the CBO score for the Senate bill that everyone is discussing today. The CBO will not have that bill scored until sometime next week.

Which should be even worse.

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**Author:** ![Left\_Hand\_of\_Dorkness](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/left_hand_of_dorkness/32/7156_2.png) [@Left\_Hand\_of\_Dorkness](https://boards.straightdope.com/u/Left_Hand_of_Dorkness)\
**Post date:** [June 23, 2017, 12:32am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/786 "2017-06-23T00:32:41Z")

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> [@Little\_Pig](#):
>
> Republicans view this as 23 million people “exercising their freedom” not to have health insurance.

This is a truly repulsive talking point. I wonder how many senators will exercise their freedom not to insure their own families.

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**Author:** ![jasg](https://avatars.discourse-cdn.com/v4/letter/j/f0a364/32.png) [@jasg](https://boards.straightdope.com/u/jasg)\
**Post date:** [June 23, 2017, 1:11am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/787 "2017-06-23T01:11:08Z")

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> [@Little\_Pig](#):
>
> Republicans view this as 23 million people “exercising their freedom” not to have health insurance.

Which is actually the freedom to let others pay for their healthcare.

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**Author:** ![Guest-starring\_Id](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/guest-starring_id/32/21736_2.png) [@Guest-starring\_Id](https://boards.straightdope.com/u/Guest-starring_Id)\
**Post date:** [June 23, 2017, 2:42pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/788 "2017-06-23T14:42:27Z")

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Looks like the [senate health bill](https://www.washingtonpost.com/news/posteverything/wp/2017/06/22/the-senate-health-care-bill-is-even-worse-than-the-houses-version/) will ultimately be worse than the House version?

> [@](#):
>
> But my [Bernstein’s] headline point — this bill is worse than the House bill — is in regard to Medicaid. First, most of the noise your hear around the ACA is around the non-group market, and, no question, the exchanges need improvements, though part of that is a function of recent sabotage by those hoping to make good on their proclamations about “failed Obamacare.” But quantitatively, Medicaid is much more important: It covers 20 percent of the population, almost three times that of the non-group market (to be clear, that part of the market must work for the system to adequately function). Medicaid covers just under 50 percent of all births (!), about two-thirds of all nursing home residents, 40 percent of all poor adults — 74 million benefit from Medicaid or CHIP (kids’ version). And the Senate bill cuts Medicaid more deeply than the House bill. Over the long term, a lot more deeply.

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**Author:** ![Ravenman](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/ravenman/32/2929_2.png) [@Ravenman](https://boards.straightdope.com/u/Ravenman)\
**Post date:** [June 23, 2017, 2:47pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/789 "2017-06-23T14:47:11Z")

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> [@Little\_Pig](#):
>
> “The GOP’s ObamaCare replacement bill that passed the House would result in 23 million fewer people with health insurance over 10 years, the nonpartisan Congressional Budget Office said in an analysis released Wednesday.”
> 
> Republicans view this as 23 million people “exercising their freedom” not to have health insurance.

I don’t know what you’re so upset about. The AHCA is just an adaptation of Blackstone’s maxim: “It is better that 23 million people not have health insurance, than to risk one wealthy person having to wait at all for an elective medical procedure.”

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**Author:** ![ElvisL1ves](https://avatars.discourse-cdn.com/v4/letter/e/5daacb/32.png) [@ElvisL1ves](https://boards.straightdope.com/u/ElvisL1ves)\
**Post date:** [June 23, 2017, 3:36pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/790 "2017-06-23T15:36:21Z")

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> [@mhendo](#):
>
> Not that this is NOT the CBO score for the Senate bill that everyone is discussing today. The CBO will not have that bill scored until sometime next week.

True, but there’s not much in the Senate bill that would make the result any better. If anything, the deep Medicaid cuts would make it worse. Or “meaner”, as the guy who promised to cover everybody and do it cheaper has recently said about the House bill he used to support.

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**Author:** ![Snowboarder\_Bo](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/snowboarder_bo/32/229_2.png) [@Snowboarder\_Bo](https://boards.straightdope.com/u/Snowboarder_Bo)\
**Post date:** [June 25, 2017, 3:10am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/791 "2017-06-25T03:10:53Z")

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Did y’all catch [this?

> [@](#):
>
> **KOCH CHIEF SAYS HEALTH CARE BILL INSUFFICIENTLY CONSERVATIVE**
> 
> Chief lieutenants in the Koch brothers’ political network lashed out at the Senate Republican health care bill on Saturday as not conservative enough, becoming a powerful outside critic as GOP leaders try to rally support for their plan among rank-and-file Republicans.
> 
> Tim Phillips, who leads Americans For Prosperity, the Koch network’s political arm, called the Senate’s plans for Medicaid “a slight nip and tuck” of President Barack Obama’s health care law, a modest change he described as “immoral.”
> 
> “This Senate bill needs to get better,” Phillips said. “It has to get better.”

> [@](#):
>
> The comments came on the first day of a three-day private donor retreat at a luxury resort in the Rocky Mountains. Invitations were extended only to donors who promise to give at least $100,000 each year to the various groups backed by the Koch brothers’ Freedom Partners - a network of education, policy and political entities that aim to promote small government.

> [@](#):
>
> No outside group has been move aggressive over the yearslong push to repeal Obama’s health care law than the Kochs’, who vowed on Saturday to spend another 10 years fighting to change the health care system if necessary.

> [@](#):
>
> The network’s wishes are backed by a massive political budget that will be used to take on Republican lawmakers, if necessary, Phillips said.
> 
> He described the organization’s budget for policy and politics heading into the 2018 midterm elections as between $300 million and $400 million. “We believe we’re headed to the high end of that range,” he said.

]([http://hosted.ap.org/dynamic/stories/U/US\_KOCH\_DONORS\_COOL-?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2017-06-24-20-43-33](http://hosted.ap.org/dynamic/stories/U/US_KOCH_DONORS_COOL-?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2017-06-24-20-43-33))  
That’s a lot of talk and a lot of money. Hell, they could give everyone in America a dollar and still have almost $100 million left over.

I gotta say, tho: another 10 years fighting the PPACA? Will either of the Koch brothers still be alive in 10 years (they are 77 and 81, according to Wikipedia)?

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**Author:** ![wonky](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/wonky/32/393_2.png) [@wonky](https://boards.straightdope.com/u/wonky)\
**Post date:** [June 26, 2017, 8:50pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/792 "2017-06-26T20:50:25Z")

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New CBO score. 22 Million to lose coverage, 15 million in 2018. This is AFTER they added the six month exclusion and pushed off some of the Medicaid cuts past the 10 year window.

Huge, damaging cuts to Medicaid, smaller but significant cuts to Medicare.

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**Author:** ![Richard\_Parker](https://avatars.discourse-cdn.com/v4/letter/r/35a633/32.png) [@Richard\_Parker](https://boards.straightdope.com/u/Richard_Parker)\
**Post date:** [June 26, 2017, 8:51pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/793 "2017-06-26T20:51:56Z")

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> [@jsgoddess](#):
>
> New CBO score. 22 Million to lose coverage, 15 million in 2018. This is AFTER they added the six month exclusion and pushed off some of the Medicaid cuts past the 10 year window.
> 
> Huge, damaging cuts to Medicaid, smaller but significant cuts to Medicare.

Also, 4 million will lose _employer_ coverage.

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**Author:** ![wonky](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/wonky/32/393_2.png) [@wonky](https://boards.straightdope.com/u/wonky)\
**Post date:** [June 26, 2017, 9:15pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/794 "2017-06-26T21:15:06Z")

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> [@Richard\_Parker](#):
>
> Also, 4 million will lose _employer_ coverage.

Yep. To quote a former coworker “It’s like twelve monkeys fucking a football.”

I don’t know what that means, but it’s bad!

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**Author:** ![JohnT](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/johnt/32/15048_2.png) [@JohnT](https://boards.straightdope.com/u/JohnT)\
**Post date:** [June 26, 2017, 9:21pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/795 "2017-06-26T21:21:31Z")

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> [@Slash1972](#):
>
> Not that I’m in favor of the new bill, but I don’t think this is true.

Yeah, I misread, got distracted for 5+ minutes, hope y’all would ignore. 2 outta 3! 😉

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**Author:** ![aurora\_maire](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/aurora_maire/32/328_2.png) [@aurora\_maire](https://boards.straightdope.com/u/aurora_maire)\
**Post date:** [June 26, 2017, 9:35pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/796 "2017-06-26T21:35:32Z")

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> [@jasg](#):
>
> Which is actually the freedom to let others pay for their healthcare.

I saw some GOP senator this weekend say, in regards to mandates, “why should a 27 year old buy insurance he doesn’t need?”. How is it that these folks do not understand how insurance works?! Last month I really didn’t think I needed car insurance - haven’t had an accident in 20 years. Then last week someone hit my car. Good thing we both had mandated insurance!

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**Author:** ![The\_Tooth](https://avatars.discourse-cdn.com/v4/letter/t/c67d28/32.png) [@The\_Tooth](https://boards.straightdope.com/u/The_Tooth)\
**Post date:** [June 26, 2017, 9:45pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/797 "2017-06-26T21:45:33Z")

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I was in a bicycle accident when I was 30, it led to an emergency splenectomy and two weeks in hospital. It cost me $10 for a rental phone and $15 for the Darvon prescription I walked out with. What’s that in American dollars?

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**Author:** ![Snowboarder\_Bo](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/snowboarder_bo/32/229_2.png) [@Snowboarder\_Bo](https://boards.straightdope.com/u/Snowboarder_Bo)\
**Post date:** [June 26, 2017, 11:07pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/798 "2017-06-26T23:07:16Z")

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> [@The\_Tooth](#):
>
> I was in a bicycle accident when I was 30, it led to an emergency splenectomy and two weeks in hospital. It cost me $10 for a rental phone and $15 for the Darvon prescription I walked out with. What’s that in American dollars?

About US$2,480,000.

ETA: Oh, plus $10 for the phone.

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**Author:** ![Merneith](https://avatars.discourse-cdn.com/v4/letter/m/57b2e6/32.png) [@Merneith](https://boards.straightdope.com/u/Merneith)\
**Post date:** [June 26, 2017, 11:36pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/799 "2017-06-26T23:36:59Z")

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> [@jsgoddess](#):
>
> Yep. To quote a former coworker “It’s like twelve monkeys fucking a football.”
> 
> I don’t know what that means, but it’s bad!

Maybe ok if you’re the monkey …?

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**Author:** ![GrumpyBunny](https://avatars.discourse-cdn.com/v4/letter/g/bc8723/32.png) [@GrumpyBunny](https://boards.straightdope.com/u/GrumpyBunny)\
**Post date:** [June 27, 2017, 12:00am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/800 "2017-06-27T00:00:22Z")

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> [@Snowboarder\_Bo](#):
>
> I gotta say, tho: another 10 years fighting the PPACA? Will either of the Koch brothers still be alive in 10 years (they are 77 and 81, according to Wikipedia)?

I hope not. Maybe then we can get universal coverage. Single-payer, even! You know, nice things like other countries have.

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